Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2021-08-30-33

Project Information

Project IdentifiersProject ID: 215615
DEA: 101L2304
EFIS: 1020000163
DIST-CO-RTE-PM10-SJ-4-5.4/13.4
Award Date05/05/2021
Closeout Date01/31/2022
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location DescriptionSAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD
QA Service Level1 (Verified on 04/21/2021)

Sample Information

Sample Taken Date08/30/2021 Sample Unique Key33
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/07/2021
Sample typeAcceptance A brief description of the samplePG 64-16
The quantity of what the sample constitutes1 can From where was the sample collectedJob Site
First name of sampler or witnessed byJ Last name of sampler or witnessed byKort
Title of samplerCONSTR INSP Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) NumberC2104PG2
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Asphalt Binder SupplierVSS Emultech - West Sacramento CA MultigradeYes
Multigrade TypePG 64-16 / PG 64-10 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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